NPIMap

Organization Active NPI

Dental Group of Millville NJ, PC

  • General Practice Dentistry
  • Millville, NJ
National Provider Identifier
1184876153
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI18903 Issued in NJ
Legal business name
DENTAL GROUP OF MILLVILLE NJ, PC
Practice address
1018 N High St
Millville, NJ 08332-2527
Phone
(856) 825-9000
Fax
(856) 327-0767
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Antonio Lopez
Title
Owner
Phone
(856) 825-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DI19011 NJ
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DI18903 NJ Primary

Addresses

Primary practice location

1018 N High St
Millville, NJ 08332-2527

Mailing address

1018 N High St
Millville, NJ 08332-2527
Phone (856) 825-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1184876153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322527",
            "telephone_number": "856-825-9000",
            "fax_number": "856-327-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322527",
            "telephone_number": "856-825-9000",
            "fax_number": "856-327-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF MILLVILLE NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-825-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19011",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI18903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.